Autenrieth, Jane Katherine
Autenrieth, Jane Katherine is an sole proprietor health care provider with primary practice located at 2080 W Eau Gallie Blvd , Melbourne FL 32935-3152. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Autenrieth, Jane Katherine can be contacted via phone (407) 694-3603.Contact Information
Primary practice address
2080 W Eau Gallie Blvd
Melbourne FL 32935-3152
Phone: (407) 694-3603
Fax: (321) 296-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 8803 | Florida |
Profile Details
| NPI number | 1720171010 |
|---|---|
| LBN Legal business name | Autenrieth, Jane Katherine |
| Credentials | MA CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2006 |
| Last updated | Oct 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720171010 | NPPES |
| Florida | MEDICAID | 889892800 |
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